DOI QR코드

DOI QR Code

경직형 뇌성마비 아동의 초기 섭식능력과 조음기관 구조평가 및 말 명료도와의 관련성 연구

A study on relationships between the Initial Food Consumption Ability of Articulation Production and Intelligibility in Children with Spastic Cerebral Palsy

  • 이혜정 (대구대학교 재활과학대학 언어치료학과) ;
  • 김화수 (대구대학교 언어치료학과 및 국제재활과학연구소)
  • Lee, Hye-Jung (Dept. of Speech Pathology, Daegu University) ;
  • Kim, Wha-Soo (Dept. of Speech Pathology & International Institute of Rehabilitation Science, Daegu University)
  • 투고 : 2013.12.30
  • 심사 : 2014.05.20
  • 발행 : 2014.05.28

초록

본 연구는 만 4-15세까지의 뇌성마비 아동을 대상으로 초기 섭식능력이 조음기관 구조평가와 말 명료도에 영향을 미치는 변인이 무엇인지 파악하고자 하였다. 총 30명의 경직형 뇌성마비 아동을 대상으로 아동의 섭식 능력에 대해 설문하여, 뇌성마비 아동의 조음기관 구조평가와 말 명료도 검사를 실시하였다. 조음기관 구조평가에 영향을 미치는 요인을 분석한 결과 음식삼키기 가능여부와 병원서 섭식에 대한 치료경험여부, 깨물어 씹기 가능여부, 유동식 섭취가능여부, 섭식에 특별한 방법과 도구 사용여부, 식사 중 문제행동여부, 가누기 시작시기에서 조음평가에 긍정적 영향을 미쳤다. 이상의 연구결과에서 보는 바와 같이 경직형 뇌성마비 아동의 초기 섭식능력이 조음기관 구조평가와 말 명료도에 영향을 미치는 것으로 나타났다.

This study is to help fine some factors of how the Initial food consumption ability affects articulation production and intelligibility in children at aged 4-15 with cerebral palsy. According to the factor analysis of articulation production, here are some positive articulation productions; the ability of mumbling and swallowing food, biting and swallowing and liquid diet, the experience of food consumption therapy, the use of specific methods or tools for food consumption, the behavior-problem during a meal and the beginning of the neck control. Therefore, the study finds that the Initial food consumption ability in children with spastic cerebral palsy may affect articulation production and intelligibility.

키워드

참고문헌

  1. J. C. Hardy, Cerebral palsy. Englewood cliffs(NJ): Prentice-Hall, 1983.
  2. Sun-Hee Jang, The Effect of the Oral Articulatory Training Program on Ariculation Correction in children with Spastic Cerebral Palsy. Graduate School of Rehabilitation Science Daegu University, 2009.
  3. Eun-Jung Park, Effect of facial-and tongue-muscle Massage Techniques on Oral Motor Function and Articulation Accuracy in Adolescents of Spastic Cerebral Palsy. Graduate School of Rehabilitation Science Daegu University, 2011.
  4. R. Manikam, J. A. Perman, Pediatric feeding disorders. Journal of Clinical Gastroenterology, Vol. 30, No. 1, pp. 34-36, 2000. https://doi.org/10.1097/00004836-200001000-00007
  5. DOI: 10.1016/j.jpeds.2004.05.019
  6. DOI: 10.1111/j.1469-8749.2001.tb00185.x
  7. DOI:10.1159/000061844
  8. Mi-Nam Woo, The Effect of the Feeding Program For The Children with Cerebral Palsy. Graduate School Daegu University, 2005.
  9. Su-Jeong Chang, Correlation between chewing skills and speech intelligibility of one syllable in children with spastic cerebral palsy. Greaduate School Ewha Womans University, 2005.
  10. S. H. Kim, J. B. Ahn, D. H. Kwon, A Correlation Studying between Feeding Skills and Percent of Correct Articulation of the Children with Spastic Cerebral Palsy. Journal of speech & hearing disorders, Vol. 17, No. 4, pp. 1-17, 2008.
  11. Seon-Kyoung Kim, A Case Study on the Effects of a Chewing Program on the Intelligibility of Nonsense Syllable Preschool Children with Athetoid Cerebral Palsy. Graduate School Ewha Woman University, 2011.
  12. E. M. Wilson, K. C. Hustad, Early Feeding Abilities in Children with Cerebral Palsy: A Parental Report Study. J Med Speech Lang Pathol, 2009; MARCH: nihpa 57357.
  13. M. J. Shin, J. O. Kim, S. O. Lee, S. Y. Lee, SMST: Speech Mechanism Screening Test. Seoul: Hakjisa 2010.
  14. Y. T. Kim, M. J. Shin, Urimal test of articulation and phonology(U-TAP). Seoul: Hakjisa, 2004.
  15. M. J. Kim, S. Y. Bae, C. G. Bak, Pronunciation assessment for children(APAC). Incheon: Hyubeu Alaenssi, 2007.
  16. DOI: 10.1093/gerona/60.5.667
  17. L. P. Solomon, D. A. Robin, Strength, endurance, and stability of the tongue and hand Parkinson's Disease. Journal of Speech, Language, and Hearing Research, Vol. 43, No. 2, pp. 256-267, 2000. https://doi.org/10.1044/jslhr.4301.256
  18. S. H. Kim, J. B. Ahn, O. B. Lee, D. H. Kwon. Differences on Articulators' Function according to Feeding Subtypes between Children with Spastic Cerebral Palsy and Normal Children. Korean Journal of Speech, Vol. 2, No. 2, pp. 93-100, 2010.
  19. Ji-Yeun Woo, The Effect of Eating Training on the Development of Verbal Function of Children with Cerebral Palsy. Graduate School Daegu University, 2004.